Skip to main content

Advertisement

Log in

Endometriosis of the round ligament: description of a clinical case and review of the literature

  • Case Report
  • Published:
Hernia Aims and scope Submit manuscript

Abstract

We report a case of endometriosis of the round ligament in a 29-year-old woman, who complained of a lump with a diameter of about 2.5 cm in the right inguinal region, which increased in bulk and was accompanied by intense pain during the menstrual period. The clinical suspicion of inguinal endometriosis, supported by ultrasonography and Magnetic Resonance (MR), was confirmed by histological examination of the surgical specimen, which included the mass and the extraperitoneal segment of the round ligament.

The authors conclude that the appearance of a lump in the inguinal region associated with subjective and objective changes of the lesion in relation to the menstrual cycle must raise the suspicion of endometriosis among the possible diagnoses.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2a–b
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Astore L (1980) In tema di localizzazioni infrequenti della cosiddetta “endometriosi esterna” (intestinale, inguinale, ombelicale, su cicatrice). Arch De Vecchi Anat Patol 64:19–58

    PubMed  CAS  Google Scholar 

  2. Bergqvist A (1993) Different types of extragenital endometriosis: a review. Gynecol Endocrinol 7:207–221

    Article  PubMed  CAS  Google Scholar 

  3. Proposito D, Negro P, Gossetti F, Di Paola M, Montemurro L, Gallina S, Veltri S, Corazza V, Brugiotti C, Antonellis F, Uccini S, Carboni M (2002) Endometriosi extrauterina: quale interesse per il chirurgo generale? Presentazione di 3 casi clinici e revisione della letteratura. Chir Ital 54:699–708

    PubMed  Google Scholar 

  4. Cameron IC, Rogers S, Collins MC, Reed MW (1995) Intestinal endometriosis: presentation, investigation and surgical management. Int J Colorectal Dis 10:83–86

    Article  PubMed  CAS  Google Scholar 

  5. Candiani GB, Vercellini P, Fedele L, Vendola N, Carinelli S, Scaglione V (1991) Inguinal endometriosis: pathogenetic and clinical implications. Obstet Gynecol 78:191–194

    PubMed  CAS  Google Scholar 

  6. Chatterjee SK (1980) Scar endometriosis: a clinicopathologic study of 17 cases. Obstet Gynecol 56:81–84

    PubMed  CAS  Google Scholar 

  7. Clausen I, Nielsen KT (1987) Endometriosis in the groin. Int J Gynaecol Obstet 25:469–471

    Article  PubMed  CAS  Google Scholar 

  8. Khetan N, Torkington J, Watkin A, Jamison MH, Humphreys WH (1999) Endometriosis: presentation to general surgeons. Ann Roy Coll Surg 81:255–259

    CAS  Google Scholar 

  9. Ledda S, Licheri S, Casu B, Martinasco L, Pulix N, Ambu R, Pisano G, Pomata M, Daniele GM (2002) Endometriosi della cicatrice ombelicale: descrizione di un caso clinico e revisione della letteratura. Chir Ital 54:405–408

    PubMed  Google Scholar 

  10. Singh KK, Lessels AM, Adam DJ, Jordan C, Miles WFA (1995) Presentation of endometriosis to general surgeon: a 10-year experience. Brit J Surg 82:1349–1351

    Article  PubMed  CAS  Google Scholar 

  11. Succi L, Urrico GS, Politi A, Scollo P, Prumeri S, Campione S, Lateri F (2001) Colorectal endometriosis : aggressive surgical management and practical considerations in a patient with advanced disease. Chir Ital 53:713–716

    PubMed  CAS  Google Scholar 

  12. Gleeson RE, Horgan LF (1997) Endometriosis in an inguinal hernia. Hernia 1:147–148

    Article  Google Scholar 

  13. Miranda L, Settembre A, Capasso P, Piccoboldi D, De Rosa N, Corcione F (2001) Inguinal endometriosis or irriducible hernia? A difficult preoperative diagnosis. Hernia 5:47–49

    Article  PubMed  CAS  Google Scholar 

  14. Sataloff DM, La Vorgna KA, McFarland MM (1989) Extrapelvic endometriosis presenting as a hernia: Clinical reports and review of the literature. Surgery 105:109–112

    PubMed  CAS  Google Scholar 

  15. Strasser EJ, Davis RM (1977) Extraperitoneal inguinal endometriosis. Am Surg 43:421–422

    PubMed  CAS  Google Scholar 

  16. Baccoli A, Mais V, Pani C, Musu S, Milesi M, Farina GP (1999) Endometriosi del canale inguinale. Contributo clinico. Giorn It Ost Gin 12:579–582

    Google Scholar 

  17. Boggi U, Del Chiaro M, Pietrabissa A, Mosca F (2001) Extrapelvic endometriosis associated with occult groin hernias. J Can Chirurg 44:224

    CAS  Google Scholar 

  18. Calabrese L, Delmonte O, Mari R (1997) L’endometriosi della parete addominale. Caso clinico e revisione della letteratura. Acta Biomed L’Ateneo Parmense 68:35–43

    Google Scholar 

  19. Klein AE, Bauer TW, Marks KE, Belinson JL (1999) Papillary clear cell adenocarcinoma of the groin arising from endometriosis. Clin Orthop 361:192–198

    Article  PubMed  Google Scholar 

  20. Elemenoglu J, Skopelitou A, Nomikos I (1993) Carcinoma in the inguinal region arising from endometriosis of the round ligament. Report of a case. Eur J Gynaecol Oncol 4:28–32

    Google Scholar 

  21. Wolf C, Obrist P, Esinger C (1997) Sonographic features of abdominal wall endometriosis. Am J Roentgenol 169:916–917

    CAS  Google Scholar 

  22. Amato M, Levitt R (1984) Abdominal wall endometrioma: CT findings. J Comput Assist Tomo 8:1213–1214

    CAS  Google Scholar 

  23. Gitelis S, Petasnick JP, Turner DA, Ghiselli RW, Miller III AW (1985) Endometriosis simulating a soft tissue tumor of the thigh. J Comput Assist Tomo 9:573–576

    Article  CAS  Google Scholar 

  24. Perez-Seoane C, Vargas J, de Augustin P (1991) Endometriosis in an inguinal-crural hernia: diagnosis by fine needle aspiration biopsy. Acta Cytol 35:350–352

    PubMed  CAS  Google Scholar 

  25. Griffin JB, Betsill WL (1985) Subcutaneous endometriosis diagnosed by fine needle aspiration cytology. Acta Cytol 29:584–589

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Licheri.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Licheri, S., Pisano, G., Erdas, E. et al. Endometriosis of the round ligament: description of a clinical case and review of the literature. Hernia 9, 294–297 (2005). https://doi.org/10.1007/s10029-004-0314-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10029-004-0314-6

Keywords

Navigation